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Mr. Daniel Thomas Cosgro, PA-C
Surgical Physician Assistant in Bend, Oregon
NPI 1972588572

Daniel Thomas Cosgro is a Surgical Physician Assistant based in Bend, OR and is specialized in Surgical. Daniel Thomas Cosgro practices in Bend, OR and has the professional credentials of PA-C. The NPI Number for Daniel Thomas Cosgro is 1972588572 and holds a License No. (Oregon).

The current practice location address for Daniel Thomas Cosgro is 2275 Ne Doctors Dr Ste 6, Bend, OR and can be reached out via phone at 541-706-6915 and via fax at 541-706-6733. You can also correspond with Daniel Thomas Cosgro through the mailing address at PO BOX 5579, BEND, OR - 97708-5579 (mailing address contact number: 541-706-6915).

Location: 2275 Ne Doctors Dr Ste 6, Bend, OR, 97708-5579
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Provider Profile Details
NPI Number
1972588572
Provider Name
Daniel Thomas Cosgro
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2275 Ne Doctors Dr Ste 6, Bend, OR, 97708-5579
Phone Number
541-706-6915
Fax Number
541-706-6733
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00492 01 OR PROFESSIONAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2275 Ne Doctors Dr Ste 6
City
State
Zip
97701-6092
Phone Number
541-706-6915
Fax Number
541-706-6733
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Provider Business Mailing Address Details
Address
Po Box 5579
City
State
Zip
97708-5579
Phone Number
541-706-6915
Fax Number
541-706-2991
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00492 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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